Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 08234 | Date 02/02/2023 |
| Token No | SM/22-23/7650 02/02/2023 | Serial | 019 |
| Patient Name | Mrs. CHINTA DEVI | Contact No | 8582975664 |
| Address | 112 R.B. SARANI | Age | 49 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||